Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,258.81 / $8,229.00	Facility		$860.00	$2,258.81	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.02 / $1,982.95 / $2,382.78	Professional		$1,736.02	$1,982.95	$2,382.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,603.30 / $1,938.43 / $2,906.06	Professional		$1,603.30	$1,938.43	$2,906.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,683.20 / $2,310.28 / $2,665.07	Facility		$1,683.20	$2,310.28	$2,665.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,650.20 / $2,310.28 / $3,300.40	Professional		$1,650.20	$2,310.28	$3,300.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,031.30 / $2,031.30 / $2,695.44	Facility		$2,031.30	$2,031.30	$2,695.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,050.73 / $2,567.21 / $4,039.90	Professional		$2,050.73	$2,567.21	$4,039.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,786.26 / $2,832.78 / $3,725.56	Professional		$1,786.26	$2,832.78	$3,725.56